Application Form 2014/15 in Word Format

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University Grants Commission – Sri Lanka
APPLICATION FOR
ADMISSION OF STUDENTS WITH FOREIGN QUALIFICATIONS TO
UNDERGRADUATE COURSES OF THE UNIVERSITIES
IN SRI LANKA
ACADEMIC YEAR 2014/2015
www.ugc.ac.lk
Notes for Guidance
1.
This form should be used if you wish to apply for an undergraduate degree program in a Sri Lankan
University as a student with Foreign Qualifications for the Academic Year 2014/2015.
2.
Application form and the Admissions Handbook for the Students with Foreign Qualifications valid for
the Academic Year 2014/2015 are available on the UGC website (www.ugc.ac.lk).
3.
Before completing this form, please refer the Admissions Handbook for the Students with Foreign
Qualifications valid for the Academic Year 2014/2015 to check your eligibility, course details and
other vital information. In order to make your application successful you must meet all the necessary
requirements, which can be found in the Admissions Handbook for the Students with Foreign
Qualifications valid for the Academic Year 2014/2015.
4.
When completing the form, please ensure that you provide your full name as appeared in your
passport.
5.
Please provide all the supporting documents in English, we require officially translated versions as
well as copies in the original language.
6.
Please provide certified copies of all the supporting documents including the certified copies of the
relevant pages of your passport, duly authenticated by relevant authorities.
7.
Candidates with Sri Lankan
Father/Mother/Guardian.
8.
Every application should be accompanied by a Bank Draft of US $ 30 payable to the University Grants
Commission, being the application processing fee.
9.
Children of Sri Lankan diplomats seeking admission to Universities in Sri Lanka should forward their
applications through the Secretary, Ministry of External Affairs, Republic Building, Colombo 01, Sri
Lanka.
passport
should
attach
original
service
letter/s
of
10. All applications will be acknowledged within two weeks of receiving the applications, by e-mail &
post.
11. Do not leave any section of this application unanswered. Please write “Not applicable” in all irrelevant
sections.
12. All the applications should be forwarded to Assistant Secretary (University Admissions), University
Grants Commission, No 20, Ward Place, Colombo 07, Sri Lanka on or before the closing date.
13. Closing date for applications for the academic year 2014/2015 will be 7th September 2015.
14. If you have any questions about filling out your application form please do not hesitate to contact the
Admissions Department Tel: +94-11-2695301/02 or +94-11-3054168 Fax: +94-11-2691678 E-mail:
foreignadmissions@ugc.ac.lk
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University Grants Commission-Academic Year 2014/2015
FOR OFFICE USE ONLY
STREAM:
APPLICATION NO:
UNIVERSITY GRANTS COMMISSION
APPLICATION FOR
ADMISSION OF STUDENTS WITH FOREIGN QUALIFICATIONS TO
UNDERGRADUATE COURSES OF THE UNIVERSITIES IN SRI LANKA
ACADEMIC YEAR 2014/2015
This form should be completed and forwarded (along with the supporting documentation as required) to reach Assistant Secretary/University
Admissions, University Grants Commission, No: 20, Ward Place, Colombo 07, Sri Lanka on or before 07.09.2015.
1.
PERSONAL DETAILS (In BLOCK Capitals)
N.B.: Certified copies of the relevant pages of your passport should be attached.
Full Name:
Name with initials:
Title (Rev, Mr ,Miss, Mrs):
Date of Birth:
DD:
Sex () Male:
MM:
YYYY:
Female:
Citizenship ()
Passport Number:
2.
Civil Status ()
Age ( as at 07.09.2015):
Single:
Married:
Citizenship
Unmarried:
DD:
MM:
Dual:
Citizenship 1
Nationality:
CONTACT DETAILS (In BLOCK Capitals)
Address of the Permanent Residence:
Address for correspondence:
Local:
Foreign:
Postcode:
Postcode:
Postcode:
Tel:
Tel:
Tel:
Mobile:
Mobile:
Mobile:
Fax:
Fax:
Fax:
Email:
Email:
Email:
3.
PARENT’S/GURDIAN’S DETAILS
Father’s name:
Occupation:
Address of his employer:
Contact Details:
Tel:
Tel:
Email:
Tel:
Email:
Local:
Foreign:
Mobile:
Email:
Mother’s name:
Occupation:
Address of her employer:
Contact Details:
Mobile:
Tel:
Local:
Foreign:
Email:
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University Grants Commission-Academic Year 2014/2015
YY:
Citizenship 2
Guardians’ name:
Occupation:
Address of the employer:
Tel:
Tel:
Contact Details:
Email:
Local
Foreign
Mobile
Email:
N.B :
All Sri Lankan applicants should attach original service letter/s of Father/Mother/Guardian
4.
EDUCATIONAL QUALIFICATIONS
Educational qualifications in reverse chronological order (Certified copies of certificates and transcripts in English should be
annexed)
Year
(In reverse
chronological
order)
5.
Qualifying Examination
Awarding Body
Subjects offered and
Grades obtained
Final Certificate/Level/
Qualification Awarded
ENGLISH LANGUAGE PROFICIENCY
Applicants whose primary language is not English or whose previous education has not been in English must provide evidence of proficiency in
English(i.e. achieve a minimum score of 79 on the TOEFL or achieve a minimum score of 6.5 on IELTS)
(Enclose certified copies of certificates)
Please list English Language Qualifications with results obtained.
English Qualification
6.
Results/Score
FOR CANDIDATES WITH HIGH SCHOOL DIPLOMA
Candidates with High School Diploma should have passed the Scholastic Aptitude Test(SAT)
Score of the Scholastic Aptitude Test:
7.
OTHER QUALIFICATIONS
Any other relevent qualifications gained by you:
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University Grants Commission-Academic Year 2014/2015
Passing Year:
Passing Year
8.
COURSES OF STUDY
Indicate the order of preference of the course/courses of study you wish to follow at a University in Sri Lanka. (Under no circumstances the
order of preference can be changed)
(Please refer page no 38 & 39 for the mapping tables for the codes for each course of study and University)
Order of Preference for the Universities
Course of Study
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
9.
REFEREES
Give the details of two persons of good standing in your country who could, from their personal knowledge, testify to your character,
academic background and capacity to undertake further studies
Referee 01
Name
Designation
Address
Tel:
Email:
Referee 02
Name
Designation
Address
Tel:
Email:
If you are a non-Sri Lankan and know of any Sri Lankan citizen permanently residing in Sri Lanka who could act as your referee
Name
Designation
Address
Email:
Tel:
10. FINANCIAL SURPPORT:
Specify how much funds would be available to you whilst in Sri Lanka, and the source of such funds. :
Documentary evidence[an original letter from a bank stating the bank balance of Father/ Mother/ Guardian should be attached]
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University Grants Commission-Academic Year 2014/2015
11
11. DECLARATION
I certify that the information provided by me in this application are true and accurate.
I am aware that my application will be rejected if any information contains herein is found to be false or inaccurate before my admission to a
University in Sri Lanka, and further, that I am liable to be dismissed from the University concerned at any time in the event of such finding being
made after my admission.
Date :
Signature of the Applicant:
Note: Failure to send all required documents along with the application form will result in rejection of the application.
Make sure you have submitted the following documents as required along with your application;
01. Certified copies of the relevant pages of your passport
02. A Letter obtained from the Examination Board concerned with regard to equivalence
03. Certified copies of relevant educational certificates
04. If a Sri Lankan candidate, documentary proof for the period studied abroad
(Certified copies of School Leaving Certificates, your passport, visa, any other relevant documents)
05. If a Sri Lankan candidate, documentary proof for the period studied in Sri Lanka
(Certified copy of the School Leaving Certificate/s)
06. If a Sri Lankan candidate, original service letter/s of Father/ Mother/ Guardian
07. Documentary evidence to prove availability of funds
(Original letter stating the bank balance of Father/ Mother/ Guardian)
08. Bank Draft of US $ 30 as application processing fee.
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University Grants Commission-Academic Year 2014/2015
Only for Sri Lankan Applicants
All Sri Lankan applicants with Foreign Qualifications have to fill and submit this form, in addition to the above application.
Full name of the applicant (In BLOCK Capitals)
Passport Number:
NIC
CONTACT DETAILS (In BLOCK Capitals)
Address of Foreign Residence
Address of Sri Lankan Residence
Period of residence as at 7th September 2015
Period of residence as at 7th September 2015
From
DD:
MM:
YYYY:
From
To:
DD:
MM:
YYYY:
To:
Have you sat the G.C.E (A/L) Examination in Sri Lanka? ()
DD:
MM:
YYYY:
DD:
MM:
YYYY:
No
Yes
If so give the following particulars;
1st Attempt
2nd Attempt
3rd Attempt
Year of Examination
Index Number
Results Obtained(Subjects & Grades)
Z Score
Period of Study Abroad (Please submit documentary evidence):
From:
DD:
MM:
YYYY:
Name & Address of the School/s attended
To
DD:
MM:
YYYY:
To
DD:
MM:
YYYY:
1.
2.
3.
4.
Period of Study in Sri Lanka
From:
DD:
MM:
YYYY:
If you have studied in Sri Lanka (Attached certified copy/copies of the School Leaving Certificate/s)
Name & Address of the School/s attended
1.
2.
3.
4.
Place /Places of residence during the 3 years immediately prior to your qualifying examination (in reverse chronological order):
1.
2.
3.
4.
Place /Places of residence of your parents/guardian during the period of 3 years immediately prior to your qualifying examination
(in reverse chronological order):
1.
2.
3.
4.
I certify that the information provided by me in this application are true and accurate.
Date :
Signature of the Applicant:
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University Grants Commission-Academic Year 2014/2015
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